<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>押金退费</title>
</head>
<body>

<form action="to_addReturnDeposit" method="post" id="returnDepositForm">
	<table class="returnDeposittable" style="width: 100%; padding: 5px 3px;">
		<tr>
			<td width="50%"><input style="width: 80%;" name="depositreturnid" id="ReturnDepositReturnID"
				class="easyui-textbox" label="押金退还号：" readonly="readonly"
				 data-options="required:true"></td>
			<td width="50%"><input style="width: 80%;" name="liveid4" id="ReturnDepositLiveID"
				class="easyui-textbox" label="住院号：" readonly="readonly"
				data-options="required:true"></td>
		</tr>
		<tr>
			<td width="50%"><input  style="width: 80%;" name="depositid" id="ReturnDepositID"
				class="easyui-textbox" label="押金号："  readonly="readonly"
				data-options="required:true"></td>
			<td width="50%"><input id="ReturnDepositName" style="width: 80%;" name="patientname4"
				class="easyui-textbox" label="病人姓名：" readonly="readonly"
				data-options="required:true"></td>
		</tr>
		<tr>
		  <td width="50%"><input  style="width: 60%;" name="depositlimit"  id="ReturnDepositAmount"
				class="easyui-textbox" label="押金金额：" readonly="readonly"
				data-options="required:true"></td>
			<td width="50%"><input style="width: 60%;" name="returnamount" id="ReturnDepositMoney"
				class="easyui-textbox" label="退还金额："
				data-options="required:true"></td>
		</tr>
		<tr>
			<td width="50%"><input style="width: 60%;" name="returntime" id="ReturnDepositTime"
				class="easyui-datebox" label="退还时间："  
				data-options="required:true"></td>
			<td width="50%"><input style="width: 60%;" name="admin" id="ReturnDepositAdmin"
				class="easyui-textbox" label="经办人："  
				data-options="required:true"></td>
		</tr>
	</table>
</form>




	<style type="text/css">
.returnDeposittable td {
	padding: 4px 1px;
}
</style>
</body>
</html>